Transcript Highlights:

• The highway improvement program, the capital program, is the biggest one at $5.3 billion.
• different programs you have.
• I mean, are you looking toward the future?
• So the 164 is what DOT has put and programmed for paving. 64 is what DOT has put and programmed for paving
• As well as the ultra-high-speed program.

Summary: The Senate Transportation Committee met on January 13, 2026, for a work session on Governor Ferguson’s proposed 2026 supplemental transportation budget and a public hearing on Senate Bill 6005, which makes supplemental transportation appropriations for the 2025–27 biennium. Committee staff reviewed the transportation budget outlook, noting that the 2025 session had balanced the transportation budget over four years with significant new revenues, but that recent fuel-tax and Climate Commitment Act forecasts had softened the long-term outlook. Staff and the governor’s budget team said the proposal still leaves the budget in positive shape while addressing major needs such as preservation, ferry replacement, maintenance, and the state self-insurance account. The governor’s office described a $16.8 billion transportation budget proposal centered on preservation and maintenance, including $3.1 billion in bonding for eligible preservation projects, $1.1 billion for three new ferries, additional ferry preservation funding, pavement and bridge work, maintenance funding, County Road Administration Board startup money, State Patrol communications upgrades, DOL service access improvements, dredging for the Lower Columbia River, and restored regional mobility grant funding. Committee members asked about ferry capacity, DOL mobile offices, self-insurance costs, and whether additional preservation money could be used in 2026. Testifiers from cities, counties, labor, ports, construction, business, and environmental groups generally supported the emphasis on preservation, ferry reliability, local road funding, and freight projects, while some urged broader transit and rail investment and one witness criticized the budget’s spending approach. During public testimony on SB 6005, speakers from Bainbridge Island and ferry communities supported ferry investments and reliability improvements; local government and labor representatives backed preservation funding and better working conditions for transportation workers; business and construction groups endorsed maintenance, paving, bridge repair, and the Lower Columbia dredging item; and port and environmental advocates supported freight, port electrification, and rail funding. One witness raised concerns about the cost and long-term implications of hybrid-electric ferry maintenance, and another urged restraint in spending. The hearing ended after testimony, with the chair noting the sign-in tally and adjourning the committee without a vote on the bill.

Transcript Highlights:

• This is why programs like the high-rise sprinkler grant program are so important. They are vital.
• </c> current statute for this program current statute for this program requires<00:09:16.760><c> that
• </c><00:12:34.240><c> that's</c> pretty rare to have a a program that's pretty rare to have a a program
• </c> 30 interested uh parties in the program 30 interested uh parties in the program and<00:12:49.680
• Home-sharing programs.

Committee: House Housing Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• He did not get to grow up, build a future, or come home again.
• This committee has done an incredible job on protecting future victims, and this bill creates a program
• This committee has done an incredible job on protecting future victims, and this bill creates a program
• And so they have an incentive and a program that helps them off-ramp.
• So we know this program works at the federal level.

Bills: SB1004 , SB1012 , SB1100 , SB1110 , SB1170 , SB1213 , SB1317 , SB1402 , SB1413 , SB1416 , SB1476 , SB1511 , SB1573 , SB1655 , SB1656 , SB1709 , SB1720 , SB1723 , SB1725 , SCR1040

Committee: House Judiciary

Keywords: sex offender registration, sex offender registry, A.R.S. 13-3821, sexual offenses, public safety, GPS monitoring, electronic monitoring, transient offender, homeless registrant, online identifiers, internet identifiers, sheriff notification, Department of Public Safety, DPS, DNA collection, juvenile adjudication, kidnapping of a minor, unlawful imprisonment of a minor, lifetime registration, community notification

Transcript Highlights:

• Uh at the time we treatment program.
• Uh we have programs were effective.
• ,</c><00:04:13.439><c> uh</c> questions about our programming, uh questions about our programming, uh
• </c> just being in like an afterare program. just being in like an afterare program.
• ,</c><00:22:22.240><c> a</c><00:22:22.480><c> future</c> another meeting in the future, a future another

Keywords: 1189, house, all

Summary: The committee first approved the minutes from its October 3 meeting unanimously. It then reviewed follow-up status on prior performance audits, beginning with the Department of Corrections’ sex offender treatment program. DOC said all audit items from the 2016 review were resolved except one related to tracking benchmarks, progress, and recidivism. Officials explained that a new offender management system, Chorus, was recently implemented but has had rollout problems affecting operations, including restitution checks, and that they hope the system will be stable enough within about six months to begin tracking the needed metrics. Members asked about treatment inside prison and after release; DOC described in-prison treatment, parole aftercare, probation and parole oversight, administrative restrictions, and reassessment if conditions are not met. The committee next heard from OPLC on the Real Estate Commission audit. OPLC reported that all but one finding is substantially or fully resolved, with the remaining issue involving review of applicants’ adverse financial history and liabilities. The delay is tied to ongoing rulemaking, and OPLC said the commission is amending its criteria and integrating universal application procedures into board rules. The office estimated substantive completion by March 2027, with rule filing expected sooner. The committee then took up the Board of Pharmacy audit, where OPLC said most findings remain partially resolved because the board is in the middle of a major rule overhaul and a new licensing software project. Officials described a shift toward a compliance bureau and more routine, risk-informed inspections, rather than inspections driven only by complaints, and said updated manuals and forms will follow the new rules and technology. Finally, the Legislative Budget Assistant reported on ongoing audits. For special education, staff said they are writing the report, have 25 completed observations, and have expanded to 70 identified observations, with a full draft expected in the first quarter of 2026 and a final report by summer 2026. For education freedom accounts, 40 observations have been identified, 15 finalized, and a draft is expected by midspring with a fiscal committee presentation in summer. For the Doorway program, the audit plan was finalized with DHHS help, financial activity was isolated, fieldwork is expected to finish by Thanksgiving, and a draft report is planned for January or February 2026, with a final report by March or April 2026. The committee discussed scheduling its next meeting for February 6 at 10 a.m. and emphasized the value of follow-up on older audits; the meeting adjourned after members agreed the follow-up process should continue.

Transcript Highlights:

• We look forward to the future under his guidance. Congratulations to both of you.
• Many more that I could mention, but I will save them for future celebrations.
• Many more that I could mention, but I will save for future celebrations.
• She's more than a program leader, but a living example of the values she champions every day.
• She leads outreach, education, and program implementation efforts for the sidewalk vending program, helping

Summary: The Senate convened with a quorum, prayer, and the Pledge of Allegiance, then spent much of the session on floor recognitions and Pride Month observances. Members welcomed guests and honorees including APICA fellowship participants, the El Dorado Roses, retiring Loma Linda University Health president Dr. Richard Hart and incoming leader Dr. Anthony Hilliard, and Scripps National Spelling Bee champion Shrey Parique. The chamber also heard several personal and community tributes tied to LGBTQ+ Pride Month, including a long series of introductions of Pride honorees from across the state. The main legislative item was SR 116 recognizing June 2026 as LGBTQ+ Pride Month. Senators Cervantes, Weber Pierson, Becker, Menjivar, Arreguín, Wahab, Ochoa Bogh, Wiener, and Laird, among others, spoke in support, emphasizing the history of Stonewall and other LGBTQ+ resistance movements, the contributions of Black, Latino, Jewish, women, and Asian American LGBTQ communities, and the need to oppose ongoing discrimination, violence, and attacks on transgender people. The resolution was adopted after a roll call vote of 28-0, and the Senate then proceeded to honor a large slate of Pride honorees from multiple districts and organizations. The Senate also adopted SCR 166 designating Soju Day, with support highlighting Korean American culture and soju as a symbol of hospitality and cross-cultural exchange. SCR 155, naming the State Route 52/Interstate 805 interchange in San Diego County the Officer Kirk Leeland Johnson Memorial Interchange, also passed unanimously after remarks honoring Johnson’s military and police service and the long effort by his partner to secure the memorial. In addition, the Senate confirmed Laura Capps to the Board of State and Community Corrections by a 27-9 vote and confirmed Danielle Munoz to the Board of Barbering and Cosmetology by a 28-0 vote. The body also approved several Joint Rule 62(a) suspensions to allow committee hearings on short notice, moved AB 2294 to the inactive file, and sent SB 1189 back to the Assembly for further action. The session concluded with adjournment in memory motions for Judith Helene Ware, Huntley Gordon, and Adolfo Franceschi Colon, followed by announcements that the Senate would reconvene on June 25, 2026.

Transcript Highlights:

• And we know it works because there's already a similar program, or there's a program that's going on,
• Other states have similar programs. Connecticut has a program that has been in place since 2007.
• And that's a two-year program? It's one year in the residency and one-year payback program.
• Ours is a two-year program.
• and future costs.

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.

Transcript Highlights:

• Furthermore, the law is steering students away from private dental programs and toward programs that
• Graduates of other programs.
• cannot continue as OPAs as easily as graduates of other programs.
• However, there is no accreditation that even exists for an OPA program.
• We have a duty and obligation to always set the course and prepare the future for future generations

Summary: The committee took up House Bill 2308, which would prohibit a dental insurer or its holding company from owning interests in dental practices regulated by the Arizona Board of Dental Examiners. The sponsor and Arizona Dental Association argued the bill is meant to prevent vertical integration and insurer control over provider care, while Delta Dental opposed it, saying the measure would block nonprofit insurers from investing in clinics for indigent care and create divestment burdens. After discussion of possible exemptions and market-share caps, the committee passed HB 2308 on a 7-0 vote. The committee then considered House Bill 4001, as amended, which creates a licensing and enforcement framework for alternative nicotine products beginning in 2028, increases penalties for sales to minors, restricts youth-oriented marketing, and licenses manufacturers and distributors. Supporters, including the sponsor, Border Security Alliance, Arizona Petroleum Marketers Association, and Vapor Technology Association, said the bill would improve supply-chain transparency and help curb illegal products and youth vaping. Opponents, including the American Cancer Society Cancer Action Network, argued it should instead use a full tobacco retail licensing model and that the bill’s enforcement structure lacks sufficient resources. The committee adopted the amendment and passed the bill 6-1. House Bill 2873, as amended, was also approved unanimously. The strike-everything amendment allows a person or organization that filed a city or town referendum petition to withdraw it before ballot qualification, applies the rule retroactively to withdrawals filed on or after January 1, 2026, and bars tallying or canvassing votes for referenda with a withdrawal notice. The sponsor described it as a common-sense governance fix, and the committee gave it a 7-0 do-pass recommendation. The committee next heard House Bill 2408, which revises Arizona Board of Nursing complaint procedures, confidentiality, investigation timelines, expungement authority, and related disciplinary processes. Nursing board officials opposed parts of the bill, warning that changes to nursing education oversight and tighter deadlines could weaken patient safety and increase costs and liability, while the Arizona Nurses Association and several nurses supported the bill as a way to prioritize serious complaints, improve timeliness, and allow expungement in appropriate cases. After adopting the amendment, the committee passed HB 2408 on a 5-2 vote. The committee also passed House Bill 2342, which limits HOA restrictions on backyard shade structures, and House Bill 2323, which extends Arizona’s motor vehicle lemon law protections to lessees, both by unanimous votes. Finally, the committee began hearing House Bill 4010 on creating a Board of Genetic Counselors, with the sponsor and supporters describing it as a licensure and patient-safety measure; the transcript ends during testimony on that bill.

Transcript Highlights:

• But we should embrace that history and not dwell on the past, but look towards the future: the future
• Again, not dwelling on the past, but looking towards the future.
• Black History Month is not only about honoring the past; it's about shaping the future.
• Members, please join me in welcoming these inspirational and talented future leaders.
• Please join me in welcoming these inspirational and talented future leaders.

Keywords: 988, house, all

Transcript Highlights:

• So, control of our future effectively.
• We kind of have happen in the future.
• </c> to forfeit your ability on in the future to forfeit your ability on in the future that<00:20:48.200
• and our uranium recovery program.
• and our uranium recovery program.

Bills: SJ0001

Committee: House Minerals, Business & Economic Development

Keywords: mineral leasing, federal lands, Wyoming, energy policy, local control, federalism, 916, all

Transcript Highlights:

• All of that, I think, creates opportunity to save lives and make Californians live a healthier future
• So we have a very active program of ongoing monitoring. Yeah, I think I would agree with Daniel.
• So it's not pre-programmed based on populations.
• Programmed based on populations.
• I wanted to mention a few policy things that can help to make this future real.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• I don't again, probably not for you folks, but for the future so we can say we warned everyone.
• so we can say we warned everyone future so we can say we warned everyone we<00:19:33.840><c> don't</
• These are programs that you set up and you fund. So, my office is a very valuable resource for you.
• These are programs that you you intend.
• We will be convening Monday at 2 PM on a future right now.

Bills: HB2240 , HB2272 , HB2273 , HB2274 , HB2275

Committee: House Finance

Keywords: appropriations, legislative expenses, auditor, legislative reference bureau, state ethics commission, ombudsman, government transparency, HB2272, Act 026, public employment cost items, emergency appropriations, collective bargaining, bargaining unit 11, BU-11, state employees, excluded employees, salary increases, cost adjustments, health premium payments, benefits

Transcript Highlights:

• We issued an unmodified opinion on the federal program, a clean opinion on the federal program.
• The three programs that we audited this year were the mortgage insurance program, the Ginnie Mae program
• , and then the HOME Investment Partnership Program.
• That program maintains all of that information.
• A program that we had never had in North Dakota.

Committee: Joint Legislative Audit and Fiscal Review Committee

Keywords: 908, all

Transcript Highlights:

• And it's a process that works well for the tax credit program, the HCD programs, and other local government
• funding programs.
• The state already has mixed-income programs like CalHFA's mixed-income program, local inclusionary housing
• So I do think it's the future. We're just on the... ...precipice of that future.
• How programs and even the social programs have been to take care of the...

Keywords: 988, house, all

Transcript Highlights:

• I'm the cleanup, toxic cleanup program manager at the Department of Ecology.
• So that is work to be performed in the future.
• opening of the Crosslake Voter-approved 2008 Sound Transit 2 program.
• Automatic increases every year, no future votes needed.
• This program, it's not just about bicycles.

Bills: HB2495

Committee: Senate Transportation

Keywords: vehicles, streetcar operation, public safety, urban regulation, transportation, 904, all

Transcript Highlights:

• discount programs.
• And so we spent a lot of time organizing a distressed hospital loan program.
• To be eligible under program rules, you must have an immediate medical need. Thank you. program.
• for this program.
• for this program.

Keywords: 987, senate, all

Transcript Highlights:

• It's just a drug program that they use.
• It's just a drug program that they use.
• Those individuals who were enrolled in the premium assistance health care program has made the program
• program.
• access to monitoring people who are in this program.

Keywords: 998, house, all

Transcript Highlights:

• The disability insurance program is actually EDD's largest benefit program.
• Those programs don't talk to one another.
• The program was very different from the state's underlying bread-and-butter UI program, and as a result
• programs.
• , any of your programs?

Summary: The Budget Subcommittee on State Administration held an informational hearing on whether the Employment Development Department is ready for the next recession, with a focus on EDD Next, the department’s long-running technology modernization effort. The Legislative Analyst’s Office reviewed EDD’s major benefit programs, the history of prior modernization attempts, the current Integrated Claims Management System work, and the department’s remaining risks, including continued reliance on a COBOL-era mainframe and the challenge of adapting quickly to future federal or state policy changes during a downturn. The LAO also explained that most pandemic-era fraud was tied to temporary federal unemployment programs rather than California’s core UI system, and that the state’s UI loan repayment is not largely attributable to fraud. Members raised concerns about the cost of repeated modernization efforts, paper versus online claims, appeal overturn rates, WARN notices, and legislative oversight of the project. EDD’s panel said the department has made substantial customer-service and processing improvements, including online self-service tools, improved call center features, identity verification, fraud controls, language access upgrades, and a new document management system. Officials reported that as of early 2026, about 83% to 85% of claims across programs were being processed timely within two weeks, and said paid family leave delays in 2024 were tied to the transition into the disability insurance online platform and seasonal workload patterns. They also said EDD is working with the Department of Technology on EDD Next and that the project will proceed in phases, with paid family leave and disability insurance first and unemployment insurance later. Members pressed EDD on persistent paid family leave backlogs, the share of paper applications, response times for constituents, and whether the department tracks long-running cases and WARN notice trends. EDD said its service standard is generally immediate response through phone, chat, or callback tools, while more complex cases can take longer because the department may be waiting on claimants or medical providers. The department also said it tracks call outcomes and outstanding cases, and that it can provide additional data on WARN notices. No votes were taken, and the hearing ended with plans to continue discussing EDD Next and paid family leave at a later March 10 budget hearing.

Transcript Highlights:

• Maybe it's a program. I had to Act 30, Section 32 in that program, and I mean, in that act.
• Maybe it's a program.
• We also have a Master of Science program and a post-baccalaureate program in dietetics.
• Probably one of our top programs is our beef cattle production program. And we developed, via Dr.
• That is a duly funded program.

Committee: House Agriculture, Forestry, Aquaculture, and Rural Development

Summary: The House Committee on Agriculture, Forestry, Aquaculture, and Rural Development met with a quorum, adopted the minutes from its October 3, 2024 meeting, and Chairwoman Butler noted that HCR 82 would be voluntarily deferred in favor of continuing work on HCR 77 related to a pilot program for landscaping and crawfishing. The committee then considered HCR 205, which urges the USDA to use its Commodity Procurement Program to purchase domestic Louisiana shrimp. Representative Kerner and Commissioner Mike Strain described the shrimp industry’s low prices, full cold storage, and the need for urgent federal action to support shrimpers and move product into schools, nursing homes, and food banks. Members discussed domestic sourcing rules, enforcement against imported seafood, and marketing challenges; HCR 205 was reported favorably without objection. The committee also took up HCR 188, which memorializes Congress to oppose any federal farm bill provision that could negatively affect the use of hunting dogs. Chairwoman Butler and Commissioner Strain explained that the concern centered on vague language in a farm bill section that could be interpreted to restrict hunting dogs used for tracking or field trials. Members agreed the language should be removed if it remained in the bill, and HCR 188 was reported favorably without objection. The committee then heard a presentation from Orlando McMeans of the Southern University Ag Center and College of Agriculture, along with Dr. Calvin Walker. They outlined the center’s research, extension, and academic programs, including enrollment growth, dual-enrollment efforts, 1890 scholars, JAG Stars scholarships, beef cattle and aquaculture research, viticulture, precision nutrition, and food access initiatives. They also described major facility projects, including a high-tech meat processing facility, research labs, a vineyard, and a proposed disaster-safe shelter. Members asked about butcher training, cattle genetics, and the shelter’s potential uses, and the committee adjourned after the presentation.

Transcript Highlights:

• , Infill Infrastructure Grant Program, the Joe Serna Farmworker Housing Grant Program, and along with
• a few federal programs that are administered at HCD, the HOME Program, and the Community Development
• HDFC-administered programs?
• And each program needed their own... ...a variety of programs, and each program needed their own loan
• program and let it serve as the foundation for all of the other funding programs.

Committee: House Housing and Community Development

Keywords: 988, house, all

Transcript Highlights:

• Thank you. health programs to fund tax cuts for the wealthy.
• care and discount programs.
• for this program.
• And I just want to... ...is really the indigent care program.
• for this program.

Summary: The joint informational hearing focused on the cost of uncertainty in California health care, especially the effects of federal policy changes on coverage, access, and affordability. Opening remarks from committee leaders and members emphasized that California’s uninsured rate had fallen to historic lows under the Affordable Care Act and state policies, but that the expiration of enhanced federal subsidies, H.R. 1, and other federal regulatory changes could reverse those gains. Members repeatedly cited rising premiums, skipped care, medical debt, and the strain on low-wage workers, families, clinics, hospitals, and public programs. The first panel reviewed the federal landscape and state response. A federal policy analyst described the ACA’s coverage gains and consumer protections, then outlined current threats: H.R. 1’s Medicaid and marketplace cuts, the end of enhanced premium tax credits, shorter open enrollment, more verification requirements, and changes affecting preventive services and vaccines. Covered California reported that the loss of subsidies is expected to nearly double average monthly premiums, reduce enrollment, and push more consumers into bronze plans with higher deductibles; it also noted that California’s $190 million affordability fund is helping the lowest-income enrollees. HCAI’s Office of Health Care Affordability explained its work on spending targets, market consolidation review, and primary care investment, saying the goal is to slow spending growth rather than impose price caps. Committee members pressed witnesses on the practical effects of bronze plans, administrative burdens, immigration-related disenrollment, provider taxes, uncompensated care, and whether California can sustain current coverage levels without new revenue. Witnesses said bronze plans preserve essential benefits but shift more costs to consumers, and that H.R. 1’s verification and auto-renewal changes will likely reduce enrollment. They also said provider tax reductions could significantly weaken state financing over time, and that higher uninsured rates may increase uncompensated care and pressure premiums elsewhere in the system. The second panel, featuring UC Berkeley Labor Center and California Health Care Foundation experts, highlighted broader affordability problems across job-based coverage and Medi-Cal, citing medical debt, skipped care, and the role of underlying system costs, administrative waste, and lack of competition. They pointed to medical debt relief efforts such as Los Angeles County’s program as a short-term mitigation strategy while the Legislature considers longer-term policy and budget responses.